Office of Countywide Healthcare Planning – August 2012

ZIP MEDICAID ENROLLED1,5

District 2 % of Residents 33054 9,057 34.8% 33142 18,009 34.2% 33147 16,322 34.8% 33150 9,250 33.3% 33161 13,185 24.5% 33162 9,688 22.3% 33167 4,673 24.8% 33168 6,035 23.4% 33169 9,026 22.9% 33181 2,532 13.8% Total 97,777 27.7%

HHeeaalltthh SSnnaappsshhoott:: DDiissttrriicctt 22 CCoommmmiissssiioonneerr JJeeaann MMoonneessttiimmee

TThhee OOffffiiccee ooff CCoouunnttyywwiiddee HHeeaalltthhccaarree PPllaannnniinngg ((OOCCHHPP)) iiss tthhee hheeaalltthh ppllaannnniinngg aaggeennccyy ttaasskkeedd wwiitthh ffiinnddiinngg rreeaall ssoolluuttiioonnss ttoo ccrriittiiccaall hheeaalltthh pprroobblleemmss ffaacciinngg MMiiaammii--DDaaddee CCoouunnttyy.. This snapshot correlates OCHPs key initiatives to the issues and priorities facing residents of District 2 [includes District 2 zip codes: 33054, 33142, 33147, 33150, 33161, 33162, 33167, 33168, 33169, 33181]

Achieving a Network of Integrated Community-Based Medical Homes OCHP is leading a MDC-wide comprehensive planning process to develop a roadmap that will become the guide for leveraging both additional capital and operating dollars to expand our health delivery system. The Goal is to turn Community Health Systems into full spectrum portals to comprehensive health and services.

Leveraging – $25M

in GOB for Primary Care Facilities capital funds to generate nearly 150,000 added primary care visits (over 3 years) from the County’s existing 7 Federally Qualified Health Centers (FQHCs)

Target Population: Low Income Adults, including

the Parents of Medicaid-Enrolled Children

The Uninsured: District 2 • About 92,882 residents in District 2 are estimated not

to have Health Insurance. That is 17% of Miami-Dade County’s uninsured– See Map2

• 28% of residents of District 2 are enrolled in Medicaid1,5

• Median Household Income5 – Median income for District 2 residents was estimated at $29,683, ranging from $18,506 (zip 33142) to $35,897 (zip 33169).

Health Access Snapshot – District 2:

• Health Centers Serving District 2: (See map) o Federally Qualified Healthcare Centers

Jesse Trice Community Health Center Inc – Headquarters: 5607 NW 27th Ave, Miami 33142 -- JT Main: 5361 NW 22nd Ave, Miami 33142 – JT North Women/Children’s Wellness Center:

1190 NW 95th St, Miami 33150 – JT Norland: 18360 NW 7th Ave, Miami 33169

Borinquen Health Care Center Inc – BHCC North: 708 NE 125th St, North Miami 33161 Miami Beach Community Health Center – MB North: 11645 Biscayne Blvd, North Miami 33181

o Jackson Health Systems Primary Care Center

North Dade Health Center – 16555 NW 25th Ave, Opa Locka 33054

• Hospitals (See map): o Jackson North Medical Center 160 NW 170th St, North Miami Beach 33169 o North Shore Medical Center 1100 NW 95th St, Miami 33150

• Health Navigators and Community Health Workers6(serving included zips) are trained as entry points to

primary care medical homes, chronic disease management, inpatient care and provide assistance with social service program eligibility and enrollment. o 7 Health Navigator sites o 12 Community Health Worker sites o 50 schools have Health Connect in Our Schools Teams

Office of Countywide Healthcare Planning – August 2012

Sampling of Chronic Disease Indicators District 14:

• Diabetes – 8.5% (54) of the County’s deaths due to diabetes were residents of District 1..

• Breast Cancer – 8% of the County’s 309 deaths due to breast cancer were District 1 residents.

o Zip code 33056 accounted for 42% (10) of District 1’s deaths due to breast cancer.

• Cardiovascular Disease – 8% of the County’s 5,916 deaths due to cardiovascular disease were residents of District 1.

Emergency Room Visits from District 13: • Over 38,000 visits to Miami-Dade County Emergency Departments were made by District 1 in

2011.

• 5% of the total number of ER visits by Miami-Dade County residents was made by residents of District 1.

ER Diversion & Chronic Disease Management Dual initiatives utilizing evidence-based approaches will assist individuals seeking primary care in receiving an immediate appointment – while still in the ER – for a primary care visit in their neighborhood. For individuals living with chronic diseases, the initiative focuses electronic-enabled mechanisms for the identification of conditions, case management by licensed professionals, and guided treatment.

Health Statistics at Zip Code and District Levels OCHP has developed critical relationships with State and local data sources to build a comprehensive database of nationally-comparative health and demographic data, as well as, health utilization and health system infrastructure. OCHP is able to present this data in baseline, trend analysis, projection and GIS formats. Attached are some of the maps that have been produced detailing District 1:

• District 1 Close-up – Details the names and locations of each of the major primary care facilities and hospitals in District 1.

• Miami-Dade County Safety-Net & Primary Care Centers – Details the names and locations of each of the

County’s Federally Qualified Healthcare Centers and Jackson Health System Primary Care Centers, as well as, identifies the locations of all county hospitals. District 1 boundaries are outlined in red.

• Miami-Dade County Distributions of the Population and the Uninsured – Describes the areas of highest

to lowest concentrations of the population in all of Miami-Dade County, overlaid by the distribution of uninsured and specifically outlines Commission District 1.

• Miami-Dade County Distribution Below Poverty – Details the population density of individuals below the

federal poverty level by census tract and outlines Commission District 1 boundaries in red.

1Department of Children and Families, 11/2011 2Florida Health Insurance Study, 2004 3Florida Agency for Health Care Administration - Florida Emergency Department Data File 2011 4Florida Department of Health – Resident Deaths database 2010 5U.S. Census, 2000 & 2010 6The Children’s Trust, 2012 Note: Data were analyzed based on the included zip code boundaries and are not exclusive of the District boundary

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

XY

!!!

!

!

!

!

!

!

!

!

!

Rebeca Sosa Bruno A. Barreiro

Sally A. HeymanJean Monestime

Barbara J. Jordan

Esteban Bovo Jr.

Audrey M. Edmonson

Hialeah Hospital

North Shore Medical Center

Jackson North Medical CenterJackson North Medical Center

Miami Jewish Home & Hospital for the Aged

St. Catherine Rehabilitation Hospital/ Villa Maria

North Dade Health Center

JT-North

Borinquen

JT-Flamingo

Care Resource

MB-North Miami

JT-Jesse TriceJT-Headquarters

Borinquen-Carrie Meek

Borinquen-North Miami

Borinquen-Behavioral Health

33147

33142

33054

33140

33161

33138

33162

33167

33141

3318133168

33169

33150

3313733127

33013

33056

33160

33010

33055

33139

33122

33166

33014

33132

33154

33136

33179

33151

33153

Legend! Hospital

XY Jackson Primary Care Center!( Federally Qualified Health Center

Edmonson 3Bovo, Jr. 13Jordan 1Monestime 2Heyman 4Barreiro 5Sosa 6

0 0.5 10.25 Miles

District 2 and Surrounding Districts, Miami-Dade County

µ

Produced by: Office of Countywide Healthcare Planning, 08/2012

Source: ITD Commission Districts; U.S. Census 2010 Zip Code Boundaries; OCHP Health Care facilities.Note: JHS PCC - Jackson Health System Primary Care Centers; JT - Jesse Trice Community Health Center; MB - Miami Beach Community Health Center;

XYXY

XY

XY

XY

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(

!(!(

!(

!(!(

!(

!(

!(!(

!(

!(

Rosie Lee Wesley

Jefferson Reeves, Sr.Ambulatory Care Center

North Dade Health Center

Citrus JT-North

Camillus

Borinquen

JT-Norland

HB Bentley

JT-Flamingo

CHI-Naranja

CHI-MLK Jr.

Care Resource

MB-North Miami

JT-Jesse Trice

CHI-South Dade

CHI-Everglades

CHI-Doris Ison

Banyan-Flagler

JT-Headquarters

MB-Beverly Press

CHI-West Perrine

Borinquen-West Dade MB-Stanley C. Meyers

Borinquen-Carrie Meek

Borinquen-North Miami

Citrus-Maternal & Child

Peñalver

33034 33035

33178

33187

33196

33030

33031 33032

33018

33033

33157

33170

33185

33156

33177

33186 33176

33193

33166

33192

33140

33182

33054

33143

331553316533175

33172

33014

33149

33147

33169

33142

33141

3301533056

33126

33055

33012

33183

33179

33173

33160

33122

33161

33138

33162

33134

33189

33139

33181

33133

33167

33194

33013

33010

33180

33168

33150

33158

33137

33190

33127

33146

33154

33184 331443317433145

3313533129

33016

33125

33039

33131 33109

33152

33116

33197

33283

Legend

!( Federally Qualified Health Center

XY Jackson Primary Care Center (PCC)

XY Dr. Rafael Peñalver Clinic

District 20 2.5 51.25 Miles

Miami-Dade County Safety-Net ProvidersFederally Qualified Health Centers, Free Clinics, & JHS Primary Care Centers

µ

Produced by: Office of Countywide Healthcare Planning, 08/2012

7 Current FQHC Section 330 Grantees:Borinquen - Borinquen Health Care CenterCamillus - Camillus Health ConcernCHI - Community Health Of South Florida, Inc.Citrus - Citrus Health NetworkHB Bentley - Helen B. Bentley Family Health CenterJT - Jessie Trice Community Health CenterMB - Miami Beach Community Health Center2 New FQHC Section 330 Grantees:Banyan - Banyan Health SystemCare Resource

33034 33035

33178

33187

33196

33030

33031 33032

33018

33033

33157

33170

33185

33156

33177

33186 33176

33193

33166

33192

33140

33182

33054

33143

331553316533175

33172

33014

33149

33147

33169

33142

33141

3301533056

33126

33055

33012

33183

33179

33173

33160

33122

33161

33138

33162

33134

33189

33139

33181

33133

33167

33194

33013

33010

33180

33125

33168

33150

33158

33137

33190

33127

33146

33154

33184

33132

3314433174

33039

3314533135 33131

33129

33136

33130

33016

33109

33128

33152

33116

33197

33151

33153

33283

Legend

District 2Zip CodesPopulation Distribution

1 - 7,000

7,001 - 23,000

23,001 - 36,000

36,001 - 50,000

50,001 - 72,248Distribution Uninsured Gradient

66 - 4,668

4,669 - 9,661

9,662 - 19,158

0 2.5 51.25 Miles

Miami-Dade CountyDistribution of the Population and the Uninsured

µ

Produced by: Office of Countywide Healthcare Planning, 08/2012Source: U.S. Census 2010; Florida Health Insurance Study 2004

Jean Monestime

3317833178

3319633196

3318733187

33035330353303433034

3303233032

3301833018

3303133031

33033330333303033030

3315733157

3318533185

3315633156

3317033170

3317733177

3318633186 3317633176

3319333193

3316633166

3319233192

3314033140

3318233182

3305433054

3314333143

331553315533165331653317533175

3317233172

3301433014

3314933149

3314733147

3314233142

3314133141

3301533015

3312633126

3301233012

3318333183 3317333173

3312233122

3316133161

3313833138

33162331623316933169

3313433134

3316033160

3318933189

3313933139

3318133181

3313333133

3316733167

3305533055

3319433194

3305633056

3301333013

3301033010

3312533125

3316833168

3315033150

3315833158

3313733137

3319033190

3312733127

3314633146

3315433154

3318433184

3313233132

33144331443317433174

3303933039

3314533145

3317933179

3313533135 33131331313312933129

3313633136

3318033180

3313033130

3301633016

3310933109

3312833128

3315233152

3311633116

3319733197

3315133151

3315333153

3328333283

Miami-Dade County Distribution Below the Poverty Level

Produced by: Office of Countywide Healthcare Planning, 08/2012

LegendCensus TractBelow Poverty Level

0% - 9%10% - 17%18% - 27%28% - 43%44% - 86%Zip CodesDistrict 2

µ

0 2.5 51.25 Miles

Source: U.S. Census, 2010